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  5. ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC.

ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC.

Company Details

Name: ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 27 Jan 2003 (22 years ago)
Entity Number: 2861793
ZIP code: 12853
County: Warren
Place of Formation: New York
Address: C/O KAREN SMITH, PO BOX 246, NORTH CREEK, NY, United States, 12853

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION 2017 234230007 2018-11-02 ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC. 97
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-03-01
Business code 623000
Sponsor’s telephone number 5182512447
Plan sponsor’s address 112 SKI BOWL ROAD, NORTH CREEK, NY, 12853

Signature of
Role Plan administrator
Date 2018-11-02
Name of individual signing ANN WOODARD
Role Employer/plan sponsor
Date 2018-11-02
Name of individual signing ANN WOODARD
ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC. SAVINGS PLAN 2017 234230007 2018-02-20 ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC. 112
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-03-01
Business code 623000
Sponsor’s telephone number 5182512447
Plan sponsor’s address 112 SKI BOWL ROAD, NORTH CREEK, NY, 12853

Signature of
Role Plan administrator
Date 2018-02-20
Name of individual signing ANN WOODARD
Role Employer/plan sponsor
Date 2018-02-20
Name of individual signing ANN WOODARD
ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC. SAVINGS PLAN 2016 234230007 2017-09-05 ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC. 111
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-03-01
Business code 623000
Sponsor’s telephone number 5182512447
Plan sponsor’s address 112 SKI BOWL ROAD, NORTH CREEK, NY, 12853

Signature of
Role Plan administrator
Date 2017-09-05
Name of individual signing ANN WOODARD
Role Employer/plan sponsor
Date 2017-09-05
Name of individual signing ANN WOODARD
ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC. SAVINGS PLAN 2015 234230007 2016-06-03 ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC. 119
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-03-01
Business code 623000
Sponsor’s telephone number 5182512447
Plan sponsor’s address 112 SKI BOWL ROAD, NORTH CREEK, NY, 12853

Signature of
Role Plan administrator
Date 2016-06-03
Name of individual signing ANN WOODARD
Role Employer/plan sponsor
Date 2016-06-03
Name of individual signing ANN WOODARD
ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC. SAVINGS PLAN 2014 234230007 2015-10-13 ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC. 113
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-03-01
Business code 623000
Sponsor’s telephone number 5182512447
Plan sponsor’s address 112 SKI BOWL ROAD, NORTH CREEK, NY, 12853

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing ANN WOODARD
Role Employer/plan sponsor
Date 2015-10-13
Name of individual signing ANN WOODARD
ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC. SAVINGS PLAN 2013 234230007 2014-05-23 ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC. 119
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-03-01
Business code 623000
Sponsor’s telephone number 5182512447
Plan sponsor’s address 112 SKI BOWL ROAD, NORTH CREEK, NY, 12853

Signature of
Role Plan administrator
Date 2014-05-23
Name of individual signing ANN WOODARD
Role Employer/plan sponsor
Date 2014-05-23
Name of individual signing ANN WOODARD
ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC. SAVINGS PLAN 2012 234230007 2013-05-06 ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC. 105
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-03-01
Business code 623000
Sponsor’s telephone number 5182512447
Plan sponsor’s address 112 SKI BOWL ROAD, NORTH CREEK, NY, 12853

Signature of
Role Plan administrator
Date 2013-05-06
Name of individual signing ANN WOODARD
Role Employer/plan sponsor
Date 2013-05-06
Name of individual signing ANN WOODARD
ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC. SAVINGS PLAN 2011 234230007 2012-04-26 ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC. 119
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-03-01
Business code 623000
Sponsor’s telephone number 5182512447
Plan sponsor’s address 112 SKI BOWL ROAD, NORTH CREEK, NY, 12853

Plan administrator’s name and address
Administrator’s EIN 234230007
Plan administrator’s name ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC.
Plan administrator’s address 112 SKI BOWL ROAD, NORTH CREEK, NY, 12853
Administrator’s telephone number 5182512447

Signature of
Role Plan administrator
Date 2012-04-26
Name of individual signing ANN WOODARD
Role Employer/plan sponsor
Date 2012-04-26
Name of individual signing ANN WOODARD
ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC. SAVINGS PLAN 2010 234230007 2011-03-29 ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC. 96
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-03-01
Business code 623000
Sponsor’s telephone number 5182512447
Plan sponsor’s address 112 SKI BOWL ROAD, NORTH CREEK, NY, 12853

Plan administrator’s name and address
Administrator’s EIN 234230007
Plan administrator’s name ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC.
Plan administrator’s address 112 SKI BOWL ROAD, NORTH CREEK, NY, 12853
Administrator’s telephone number 5182512447

Signature of
Role Plan administrator
Date 2011-03-29
Name of individual signing ANN WOODARD
Role Employer/plan sponsor
Date 2011-03-29
Name of individual signing ANN WOODARD
ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC. SAVINGS PLAN 2010 234230007 2011-03-29 ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC. 96
Three-digit plan number (PN) 002
Effective date of plan 1985-03-01
Business code 623000
Sponsor’s telephone number 5182512447
Plan sponsor’s address 112 SKI BOWL ROAD, NORTH CREEK, NY, 12853

Plan administrator’s name and address
Administrator’s EIN 234230007
Plan administrator’s name ADIRONDACK TRI-COUNTY NURSING AND REHABILITATION CENTER, INC.
Plan administrator’s address 112 SKI BOWL ROAD, NORTH CREEK, NY, 12853
Administrator’s telephone number 5182512447

Signature of
Role Plan administrator
Date 2011-03-29
Name of individual signing ANN WOODARD

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent C/O KAREN SMITH, PO BOX 246, NORTH CREEK, NY, United States, 12853

History

Start date End date Type Value
2003-01-27 2018-02-20 Address P.O. BOX 500, SKI BOWL ROAD, NORTH CREEK, NY, 12853, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
180220000438 2018-02-20 CERTIFICATE OF CHANGE 2018-02-20
030127000349 2003-01-27 CERTIFICATE OF INCORPORATION 2003-01-27

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Date of last update: 11 Nov 2024

Sources: New York Secretary of State

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